Mounjaro (Tirzepatide) injections
You may have seen information in the media recently about the release of NICE guidance (TA1026) Mounjaro (Tirzepatide) injections for managing Obesity and Overweight in Adults, as well as its use to treat Type 2 Diabetes
Mounjaro for Obesity
Alert:
From 23rd June 2025 GPs will be able to prescribe Mounjaro on the NHS to certain cohorts of patients that meet strict eligiblity criteria.
This service has not yet been developed by NHS Devon and we are currently unable to initiate prescribing for Mounjaro to patients for Obesity until this has been agreed and developed.
Warning:
NHS Devon are advising against the independent initiation of tirzepatide (Mounjaro®) prescribing for weight management until the point at which further guidance is provided.
Cohorts for Mounjaro prescribing in General Practice
NHS England have defined the first 3 cohorts of patients who will be able to access Mounjaro via their GP on the NHS.
The cohorts have been decided nationally by NHS England, this is to prioritise treatment by clinical need.
The initial first 3 years will see approximately 220,000 individually nationally become eligible for treatment on the NHS.
At a practice level, we estimate that the number of our patients eligible for Mounjaro for weight management will be less than 50.
It is expected that after the first 3 years, the cohorts for eligiblity will expand again; however this is to be confirmed.
The interim commissioning policy from NHS England can be viewed here: Interim commissioning guidance NICE TA1026 - Mounjaro for the management of obesity
Cohorts as defined by NHS England
Cohort 1: 23 June 2025
A BMI of 40 or higher, or 37.5 or higher if from South Asian, Chinese, other Asian, Middle Eastern, Black African or African-Caribbean ethnic backgrounds.
At least 4 of the following comorbidities:
- Hypertension and on treatment for blood pressure
- Dyslipidaemia (high cholesterol) or on cholesterol treatment "statins"
- Obstructive Sleep Apnoea
- Cardiovascular disease
- Type 2 diabetes
Cohort 2: June 2026 (exact date to be confirmed)
A BMI of 35 or higher, or 32.5 or higher if from South Asian, Chinese, other Asian, Middle Eastern, Black African or African-Caribbean ethnic backgrounds.
At least 4 of the following comorbidities:
- Hypertension and on treatment for blood pressure
- Dyslipidaemia (high cholesterol) or on cholesterol treatment "statins"
- Obstructive Sleep Apnoea
- Cardiovascular disease
- Type 2 diabetes
Cohort 3: April 2027 (exact date to be confirmed)
A BMI of 40 or higher, or 37.5 or higher if from South Asian, Chinese, other Asian, Middle Eastern, Black African or African-Caribbean ethnic backgrounds.
At least 3 of the following comorbidities:
- Hypertension and on treatment for blood pressure
- Dyslipidaemia (high cholesterol) or on cholesterol treatment "statins"
- Obstructive Sleep Apnoea
- Cardiovascular disease
- Type 2 diabetes
I think I meet the criteria for Cohort 1, what do I do?
If you feel that you meet the criteria in Cohort 1, the first step is to contact the practice to provide an up to date height and weight, so that we can calculate your BMI.
We will then check your other conditions (comorbidities) to confirm whether or not you meet the criteria.
If your BMI and comorbidities suggest you may be suitable for Mounjaro, please contact the surgery and a clinician will review your eligibility.
You will also be required to engage in a weight management support programme which will be commissioned nationally by NHS England to support patients being prescribed Mounjaro. This is a condition of prescribing set by NHS England.
There are a number of local weight management services currently available for people living with obesity or overweight, and we are happy to discuss these and support you with your weight management goals.
Here is a link to the Services available in Devon
MyHealthDevon - Weight Management
Other options:
If you have a BMI of 35 or above there may be other weight management options available to you. Please contact us to book an appointment with your GP.
If you do not know your BMI please use the Patient Pod in the surgery waiting room. This will check your height and weight and will update your patient record.
Mounjaro for Type 2 Diabetes
Alert
Mounjaro is licensed to treat some patients with type 2 diabetes under NICE TA924.
It is not suitable for everyone with Type 2 diabetes, and there are oral medications that we would prescribe first, before even considering if Mounjaro is a suitable option.
More information on the use of Mounjaro for Type 2 Diabetes can be found on the Diabetes UK site
If after reading the Diabetes UK article below, you think that you may be suitable for Mounjaro to treat your Type 2 Diabetes, please contact the surgery and a clinician will review your eligibility.
Further links
Interim commissioning guidance NICE TA1026
More information on the use of mounjaro for type 2 diabetes can be found on the diabetes UK site
